University of Central Oklahoma

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

UNIVERSITY OF CENTRAL OKLAHOMA

Doing business as

UCO Sports Medicine

Practice address

100 N University Dr
Edmond, OK 73034-5207

Phone

(972) 367-4845

NPI assigned

Aug 29, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Britni Brannon

Title

Assistant Athletic Director

Phone

(405) 974-2168

Specialties & licenses 1

Addresses

Other names 1

• UCO Sports Medicine Doing business as

Tax ID family

University of Central Oklahoma2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• University Health Services

  • Health Service Clinic/Center
  • Edmond, OK
  • NPI 1588813281
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• University Health Services

  • Health Service Clinic/Center
  • Edmond, OK
  • NPI 1588813281
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1063994853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SPRING VALLEY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N UNIVERSITY DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345207",
            "telephone_number": "972-367-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CENTRAL OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "BRANNON",
        "authorized_official_first_name": "BRITNI",
        "authorized_official_title_or_position": "ASSISTANT ATHLETIC DIRECTOR",
        "authorized_official_telephone_number": "405-974-2168"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCO Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rukhsar Ullah
• Langston Underwood
• Tanner Payne Underwood, LADC/MH
• Unique Outcome, LLC
• University Health Services
• Bradley Holloman Unruh
• Uplift Pelvic Health LLC (Uplift Pelvic Health and Strength)
• Alysia Upshaw
• Andrea Upshaw
• Austin Upton

• Orthopaedic Surgery Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Orthopaedic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.